HomeMy WebLinkAboutColleen for PA - 2022 30-Day Post-Primary TryPennsylvania Department of State
Bureau of Campaign Finance&Lobbying Disclosure
500 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4)
www.dos.pa.gov/campaignfinance • ra-stcampaignfinance@pa.gov
Unsworn Declaration in Lieu of Sworn Statement for
Campaign Finance Statements
Note: Per Act 2020-15, which was signed into law on April 20, 2020 and allows for unsworn
declarations, Campaign Finance Reports (form DSEB-502), Campaign Finance Statements in lieu
of full reports (form DSEB-503), Non-Bid Contract Reporting Form (DSEB-504) and Independent
Expenditure Reports(form DSEB-505)need not be notarized. Instead, the filer may file with each
report or statement the corresponding version of this form signed by the required individual(s).
This particular form is to be used only for Campaign Finance Statements. This form must be
signed by hand where a signature is required.
Name of Filing Committee, Candidate, or Lobbyist
Colleen for PA
Reporting Cycle Name
O Cycle 1 0 Cycle 2 ■ Cycle 3 0 Cycle 4 ❑ Cycle 5
6th Tuesday 2"d Friday 30 Day 6th Tuesday 2'Friday
Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election
O Cycle 6 0 Cycle 7 0 Cycle 8 ❑ Cycle 9
30 Day Post-Election Annual Report 2nd Friday Pre-Special Election 30 Day Post-Special Election
Part I — If this form is submitted with a statement in lieu of full report by a political
committee, the treasurer must sign here. If this form is submitted with a statement in lieu
of a full report by a candidate, the candidate must sign here. If this form is submitted with
a statement in lieu of full report by a contributing lobbyist, the lobbyist must sign here.
I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania
that the accompanying Campaign Finance Statement is true and correct.
06/13/2022
Signature of Treasurer, Candidate, or LobbyistDate MM DD YYYY
g ( / / )
Carol E. Thornton Mechanicsburg, PA, USA
Printed Name Location (City/State/Country)
DSEB-5035
Updated 1/5/2022
Commonwealth of Pennsylvania III�IIII�IIgIB�1111�91��ISAll�ll�l�a
Campaign Finance Statement 371464
File this in lieu of a full report only if aggregate receipts, expenditures, or liabilities
incurred each did not exceed $250.00 during the reporting period.
FILER IDENTIFICATION NUMBER: 20210153 REPORT FILED ON BEHALF OF: Committee
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST COLLEEN FOR PA
STREET ADDRESS 1750 YORKSHIRE PLACE
CITY ENOLA STATE PA ZIP CODE 17025-2745
TYPE OF REPORT 30-Day Post-Primary
NAME OF OFFICE SOUGHT BY CANDIDATE REPRESENTATIVE IN THE GENERAL
ASSEMBLY
DISTRICT CODE PARTY CODE DEM
DATE OF ELECTION 11/8/2022 r.
DATES OF REPORTING PERIOD 5/3/2022 TO 6/6/2022 For Office UPS Only
AMENDMENT REPORT? NO TERMINATION REPORT? NO 111
CASH BALANCE AT THE END OF REPORTING 6,948.05
PERIOD: —TJ
C i
TOTAL AMOUNT OF FILER'S OUTSTANDING 0.00 Ce?
DEBTS OR LIABILITIES AT THE END OF E
REPORTING PERIOD: ---R I'7
CJi
AFFIDAVIT SECTION
PART I-
If statement is filed on behalf of a Political Committee or Candidate's Committee,the Treasurer must sign here.
If statement is filed on behalf of a Candidate,the Candidate must sign here.
If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID
NOT EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
ay of 20 -g(
SIGNATURE OF SON SUB NG REPORT
ATURE PRINTED AME
7 / 7 73C-0
MY COMMISION EXPIRES MO. YR. AREA CODE DAYTIME TELEPHONE NUMBER
PART II-
If statement is filed on behalf of a Candidate's Authorized Committee,Candidate must sign here.
I SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS POLITICAL COMMITTEE HAS NOT VIOLATED ANY PROVISIONS OF THE ACT OF JUNE
3,1937(P.L.1333,No.320)AS AMENDED.
SWORN TO AND SU CRIBED BEFORE ME THIS
d of 20
SIGNATURE OF PERSON SUBMITTING EPO
G RE PRINTED ME
MY COMMISION EXPIRES MO. ` DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
Department of State.Bureau of Commissions,Elections and Legislation 6/12/2022 8:18:19 AM
210 North Office Building.Harrisburg,PA 17120-0020.(717)787-5280